Research Topics
| Thomas IsaacSummaryAffiliation: Harvard University Country: USA Publications
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Detail Information
Publications
Overrides of medication alerts in ambulatory careThomas Isaac
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
Arch Intern Med 169:305-11. 2009..Electronic prescribing systems with decision support may improve patient safety in ambulatory care by offering drug allergy and drug interaction alerts. However, preliminary studies show that clinicians override most of these alerts...
The relationship between patients' perception of care and measures of hospital quality and safetyThomas Isaac
Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA
Health Serv Res 45:1024-40. 2010..We used data from the Hospital Quality Alliance to assess technical performance in medical and surgical processes of care and calculated Patient Safety Indicators to measure medical and surgical complication rates...- Clinicians' assessments of electronic medication safety alerts in ambulatory careSaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
Arch Intern Med 169:1627-32. 2009..We undertook a study of respondents' satisfaction with e-prescribing systems, their perceptions of alerts, and their perceptions of behavior changes resulting from alerts... - Assessing the value of electronic prescribing in ambulatory care: a focus group studySaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, Boston, MA 02115, USA
Int J Med Inform 78:571-8. 2009..We sought to understand the reasons for adoption and use of e-prescribing, as well as clinicians' complaints about and perceived benefits of drug allergy and interaction alerts... - An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory careSaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
Arch Intern Med 169:1465-73. 2009..Because ambulatory care clinicians override as many as 91% of drug interaction alerts, the potential benefit of electronic prescribing (e-prescribing) with decision support is uncertain... - Factors associated with pain among ambulatory patients with cancer with advanced disease at a comprehensive cancer centerSherri O Stuver
Dana Farber Cancer Institute, Boston, MA 02215, USA
J Oncol Pract 8:e17-23. 2012..To better understand the burden of pain among patients with advanced cancer, we examined the prevalence of pain reported during office and treatment visits... - Electronic drug interaction alerts in ambulatory care: the value and acceptance of high-value alerts in US medical practices as assessed by an expert clinical panelSaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, Boston, MA, USA
Drug Saf 34:587-93. 2011..Computerized physician order entry systems are known to improve patient safety in acute-care hospitals. However, as clinicians frequently override drug interaction and allergy alerts, their value in ambulatory care remains uncertain... - How do black-serving hospitals perform on patient safety indicators? Implications for national public reporting and pay-for-performanceDan P Ly
Harvard Kennedy School, Cambridge, MA 02138, USA
Med Care 48:1133-7. 2010..There is increasing policy interest in public reporting and tying financial incentives to metrics of patient safety. How black-serving hospitals fare on these measures will have important implications for disparities in care... - Are patient safety indicators related to widely used measures of hospital quality?Thomas Isaac
VA Boston Healthcare System, Boston, MA 02115, USA
J Gen Intern Med 23:1373-8. 2008..It is unknown whether PSIs are related to standard quality metrics... - Transforming healthcare: a safety imperativeL Leape
Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA
Qual Saf Health Care 18:424-8. 2009..In future roundtable sessions, the Institute will further elaborate on the meaning of each concept, identify the challenges to implementation, and issue recommendations for policy makers, organizations, and healthcare professionals... - Incidence of severe pain in newly diagnosed ambulatory patients with stage IV cancerThomas Isaac
Dana Farber Cancer Institute, Boston, MA, USA
Pain Res Manag 17:347-52. 2012..Pain is common among cancer patients... - Systematically seeking clinicians' insights to identify new safety measures for intensive care units and general surgery servicesRobert S Rogers
James J Mongan, M D, Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA
Am J Med Qual 25:359-64. 2010..This process produced safety measures with inherent credibility with clinicians on the front lines of care... - Use of UpToDate and outcomes in US hospitalsThomas Isaac
Division of General Internal Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
J Hosp Med 7:85-90. 2012..Computerized clinical knowledge mana-gement systems hold enormous potential for improving quality and efficiency. However, their impact on clinical practice is not well known...